NPI | 1871766998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301077997) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301077997) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2008-04-09 |