| NPI | 1750389862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A75593) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 9855) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2018-03-17 |