| NPI | 1487671087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A10088) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV DO1429) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-03-17 |