| NPI | 1710952346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A86721) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 10225) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2008-05-09 |