NPI | 1841259686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 11471) |
Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: NV 11471) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2010-04-21 |