| NPI | 1023197175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P9781) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A22772) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-01-06 |