NPI | 1124074356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD047617) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NY 212507-1) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2011-11-18 |