NPI | 1992001804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A122736) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY AL4978841-928) |
Enumeration Date | 2011-02-10 |
Last Update Date | 2022-07-21 |