| NPI | 1467489336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D79941) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G89040) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-05-06 |