NPI | 1326595752 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 19216) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PR 19216) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-10-25 |