NPI | 1639499544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101258487) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 258338) |
207P00000X Emergency Medicine (Licence: MD D96009) | |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA P201503720) | |
Enumeration Date | 2010-06-03 |
Last Update Date | 2022-12-14 |