NPI | 1881608255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 45720) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CO CDRH.0045720) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2023-03-13 |