| NPI | 1598031858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 8935532-1204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A11942) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2014-07-07 |