NPI | 1326224056 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MN 107830) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A96955) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2014-12-24 |