| NPI | 1841797032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO213442) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 17615) |
| 146L00000X Emergency Medical Technician, Paramedic | |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2023-08-21 |