| NPI | 1750324802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101246400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A096347) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-01-13 |