| NPI | 1922294008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N2618) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A101354) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2009-08-28 |