| NPI | 1326032707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 212480) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A91979) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2009-09-15 |