NPI | 1740381292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02004972A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101009300) |
207P00000X Emergency Medicine (Licence: OH 34.013655) | |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 009300) | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2021-10-29 |