| NPI | 1841507233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 14985) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A118266) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2014-07-23 |