| NPI | 1811918600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VT 042-0010216) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MA 203869) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-10-20 |