| NPI | 1952321002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD25848) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA M00044892) |
| 207P00000X Emergency Medicine (Licence: CA A82700) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-06-10 |