NPI | 1780258780 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 85970) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: SC LL85970) |
Enumeration Date | 2021-05-14 |
Last Update Date | 2024-03-25 |