| NPI | 1316953771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA 01011242869) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AZ 34378) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MD d66945) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: DC md037816) | |
| 207P00000X Emergency Medicine (Licence: TX Q7158) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2016-11-21 |