NPI | 1710928981 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301054452) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301054452) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2019-03-26 |