| NPI | 1770773418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A103491) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT186086) |
| 207P00000X Emergency Medicine (Licence: PA MD432400) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2011-06-22 |