| NPI | 1053424887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI 14727) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A94008) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-08-03 |