NPI | 1215044755 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G65991) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA G65991) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2019-10-23 |