| NPI | 1033182688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 216791) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A85740) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2008-04-28 |