| NPI | 1144592239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO172424) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20a12535) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2018-07-05 |