| NPI | 1457359671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A78374) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 46489) |
| 207P00000X Emergency Medicine (Licence: FL ME109650) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2016-09-02 |