NPI | 1619919735 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA 20A7531) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A7531) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2016-03-23 |