NPI | 1679546493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV NV422) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NV NV422) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2007-07-09 |