| NPI | 1881629343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA g32094) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G32094) |
| 207R00000X Internal Medicine (Licence: CA G32094) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-09-23 |