| NPI | 1487609707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2002023327) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A83407) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2015-02-02 |