NPI | 1073819314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO184177) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OK 4925) |
Enumeration Date | 2011-02-03 |
Last Update Date | 2017-10-04 |