| NPI | 1225016496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101235104) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA a90740) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2012-04-03 |