NPI | 1912175886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 13237) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NV 13237) |
Enumeration Date | 2008-02-13 |
Last Update Date | 2023-03-07 |