| NPI | 1639118789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA a76015) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study (Licence: CA A76015) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-06-25 |