NPI | 1427253830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N3175) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MO 2006032680) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2019-01-30 |