| NPI | 1518948892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 00025476) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A80815) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2016-03-08 |