NPI | 1104933647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A30375) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A30375) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2007-07-08 |