NPI | 1982665303 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301076517) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301076517) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2010-07-01 |