NPI | 1194301549 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 010980) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV DO3634) |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AZ 010980) | |
Enumeration Date | 2021-03-23 |
Last Update Date | 2024-07-02 |