| NPI | 1356433437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME106534) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: GA 054877) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-07-30 |