| NPI | 1114983244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60924945) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA C51510) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-11-26 |