NPI | 1194770685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00017699) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WA MD00017699) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2010-04-28 |