| NPI | 1497066492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A124600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R72187) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2013-03-19 |