| NPI | 1730343443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 48851) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A115597) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2019-01-29 |