| NPI | 1275681256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-14194) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A67204) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-11-07 |