| NPI | 1497840664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A82910) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 20020141) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-11-01 |