NPI | 1295161586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2016-02569) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 32,455R) |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NC 2016-02569) | |
Enumeration Date | 2013-09-19 |
Last Update Date | 2018-06-15 |