| NPI | 1528052495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G21778) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CA G21778) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2013-12-11 |