| NPI | 1114937786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD15373) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A49176) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-04-15 |