| NPI | 1588670731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A051285) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A51285) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-01-26 |