| NPI | 1427072172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX H9393) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G33457) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-08-04 |