NPI | 1649666827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: SC 52284) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 52284) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2024-10-16 |