| NPI | 1285961896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A117147) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA none yet) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2018-05-14 |