| NPI | 1245426774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: LA MD.200267) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: LA md200267) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2013-01-02 |