| NPI | 1154379691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD27409) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A75112) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-12-21 |