NPI | 1265402036 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036-138517) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 64315-21) |
207P00000X Emergency Medicine (Licence: OH 34-00-7227-P) | |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WI 64315-21) | |
Enumeration Date | 2006-01-25 |
Last Update Date | 2024-08-19 |