| NPI | 1326050410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: ME MD12863) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: ME 012863) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2014-07-02 |