| NPI | 1518090760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 158554-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G31523) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2017-03-07 |