| NPI | 1487685798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME 121761) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A88357) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-11-05 |