| NPI | 1124200142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A106377) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 13872) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2018-03-17 |