NPI | 1245592377 |
---|---|
Other Name | RONALD IRICK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 605353578) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 9407955) |
Enumeration Date | 2012-06-14 |
Last Update Date | 2020-10-27 |