| NPI | 1851684526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60604643) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A122604) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2016-08-23 |