| NPI | 1588603880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA a44706) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME0049858) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-12-01 |