| NPI | 1215103023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: CA A115958) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A115958) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2013-04-22 |