| NPI | 1548337561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 32419) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A91657) |
| 207P00000X Emergency Medicine (Licence: GA 062048) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-03-02 |