| NPI | 1316182397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A110639) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 15985) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2018-03-17 |