NPI | 1669687885 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: SC 37697) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2010-00596) |
207P00000X Emergency Medicine (Licence: VA 0101252732) | |
207P00000X Emergency Medicine (Licence: GA 59374) | |
207P00000X Emergency Medicine (Licence: FL ME114174) | |
207P00000X Emergency Medicine (Licence: SC 37697) | |
Enumeration Date | 2007-05-11 |
Last Update Date | 2022-12-21 |