| NPI | 1134173230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G46997) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA g46997) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2015-05-13 |