| NPI | 1699014589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI 2549) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G-22521) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |