| NPI | 1073543880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2015040160) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A7722) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-03-06 |