| NPI | 1174783773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A116154) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT NA) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2020-05-29 |