NPI | 1831184233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301069667) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301069667) |
Enumeration Date | 2005-09-13 |
Last Update Date | 2008-01-23 |