| NPI | 1295734135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WI 65793-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01054195A) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036-141304) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2021-03-26 |