NPI | 1316905433 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OK 16528) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 16528) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2010-05-11 |