| NPI | 1487680393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A69360) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| 3416L0300X Ambulance, Land Transport | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 261QE0002X Clinic/Center, Emergency Care | |
| 146L00000X Emergency Medical Technician, Paramedic | |
| 146M00000X Emergency Medical Technician, Intermediate | |
| 363A00000X Physician Assistant | |
| 207Q00000X Family Medicine (Licence: CA A69390) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-03-25 |