| NPI | 1285678953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: HI MD 13810) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G80869) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-07-18 |