| NPI | 1821289976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 7285543-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A100805) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2018-05-07 |