| NPI | 1427184381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 0052288) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA 60036573) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-07-05 |