| NPI | 1053612168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 15116) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A118968) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2014-11-20 |