NPI | 1285664557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX K7519) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K7519) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2012-08-06 |