Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 33317 | WI |
NPI | 1124147327 |
---|---|
Provider Name | Dr. Joseph Mario Romano |
First Address | Reno, NV 89503-4304 |
Second Address | Reno, NV 89503-4304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 26/12/2007 |