NPI | 1376073270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: LA RN126248) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: LA TAP003251) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2017-06-14 |