| NPI | 1881899805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A117173) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD431228) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2017-02-02 |