| NPI | 1285018820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL DO.1850) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: AL 0200576) |
| 207P00000X Emergency Medicine (Licence: GA 77140) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2020-06-08 |