NPI | 1366400137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OK 22850) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 22850) |
207Q00000X Family Medicine (Licence: OK 22850) | |
Enumeration Date | 2006-05-02 |
Last Update Date | 2010-06-02 |