| NPI | 1922051598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C26492) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA C26492) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-10-19 |