| NPI | 1629227277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-16899) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A111632) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2013-04-25 |