| NPI | 1093914442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A116812) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD432203) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2017-11-17 |