| NPI | 1427271212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.054321) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G53299) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-01-13 |