| NPI | 1932303146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A 110282) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35089553) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2014-09-08 |