| NPI | 1952363780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M6042) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G27958) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2011-01-14 |