NPI | 1609154848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 58583) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OK 5086) |
Enumeration Date | 2011-07-21 |
Last Update Date | 2023-03-13 |