| NPI | 1578529947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA a63330) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A63330) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA a6330) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-07-19 |