| NPI | 1841516663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 005602) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A12631) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2014-05-21 |