| NPI | 1427052166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD23245) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G046109) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2007-07-08 |