| NPI | 1922296144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD46445) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A95346) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2012-09-20 |