NPI | 1740223296 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101045053) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA 0101045053) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2013-02-13 |