NPI | 1851300818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CA A62834) |
Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: IL 036-110791) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2008-04-18 |