| NPI | 1528003779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A97123) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 055308) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-05-01 |