| NPI | 1437184421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: CA A79142) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A79142) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-09-18 |