NPI | 1326193129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 233764) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MA 233764) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-11-30 |