NPI | 1528001237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX H4436) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX H4436) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2010-05-13 |