| NPI | 1427371087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD183042) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A126890) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2020-09-25 |