| NPI | 1669474235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A73486) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 10935) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2011-11-22 |