| NPI | 1942334123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD28912) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA a99174) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-11-12 |