NPI | 1427039759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NM 83-6) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 83-6) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NM 83-6) | |
Enumeration Date | 2005-11-14 |
Last Update Date | 2016-12-12 |