| NPI | 1881794048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: GA 042658) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: GA 42658) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-01-13 |