| NPI | 1093876138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C55475) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-34374) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-11-17 |