NPI | 1467801316 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 22689) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PR 022689) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2022-11-15 |