| NPI | 1407029838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA D0.000255) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A9823) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2011-11-03 |