NPI | 1164413886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G64121) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA G64121) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2008-02-29 |