| NPI | 1174693352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A101867) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 232492) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-05-28 |