| NPI | 1922012947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA g53518) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA g53518) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2009-02-17 |