| NPI | 1285894931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 235804) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A108485) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2010-03-17 |