| NPI | 1427056845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A70591) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 10160) |
| Enumeration Date | 2005-07-10 |
| Last Update Date | 2018-03-17 |