| NPI | 1356313274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME92139) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A44721) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2012-06-27 |