NPI | 1548228315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OK 20579) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 20579) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2014-05-21 |