| NPI | 1497731178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 027016) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA C53647) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2010-11-03 |