NPI | 1447483474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME47053) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL 47053) |
Enumeration Date | 2009-08-25 |
Last Update Date | 2024-01-18 |