NPI | 1093794109 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N2105) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MN 43166) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2024-01-08 |