NPI | 1932208592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00046492) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WA MD00046492) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2010-04-29 |