NPI | 1104877174 |
---|---|
Other Name | TREY SIMMS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.29521) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME96267) |
207P00000X Emergency Medicine (Licence: PA MT182643) | |
Enumeration Date | 2006-05-15 |
Last Update Date | 2020-03-04 |