| NPI | 1508892738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G83364) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G83364) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2017-03-29 |