NPI | 1851397079 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 9601355) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NC 9601355) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2024-06-05 |