NPI | 1992850614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 12397) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PR 12397) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2023-03-07 |