| NPI | 1285742965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A8398) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 31285) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-06-04 |