NPI | 1245247154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301074591) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301074591) |
207L00000X Anesthesiology (Licence: MI 4301074591) | |
Enumeration Date | 2006-08-02 |
Last Update Date | 2012-04-23 |