NPI | 1285659177 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301072324) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301072324) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2013-05-14 |