| NPI | 1548473465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI DOS-1301) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A9897) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-06-29 |