NPI | 1477543668 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IA 18094) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 18094) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2007-07-08 |