| NPI | 1851591127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN md433267) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A100183) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2011-07-26 |