NPI | 1306073267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: TX Q0308) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q0308) |
146D00000X Personal Emergency Response Attendant | |
207P00000X Emergency Medicine (Licence: DE C2-0010415) | |
207P00000X Emergency Medicine (Licence: MN 57821) | |
Enumeration Date | 2009-06-18 |
Last Update Date | 2024-03-07 |