NPI | 1508808668 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301044761) |
Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: MI 4301044761) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2010-06-18 |