| NPI | 1144265364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI DOS1076) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A 8593) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2009-05-15 |