NPI | 1073513529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 11474) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NV 11474) |
Enumeration Date | 2005-07-27 |
Last Update Date | 2010-07-28 |