| NPI | 1114139490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A113551) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101243360) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2021-12-15 |