NPI | 1255320834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01083651A) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX K6336) |
Enumeration Date | 2005-10-17 |
Last Update Date | 2021-02-17 |