NPI | 1619927514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AZ 4401) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL 050007640) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2014-06-11 |