| NPI | 1447389242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 062112) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 133957) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2009-12-22 |