| NPI | 1881038925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A142670) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 9149605-1205) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2016-07-13 |