| NPI | 1962563312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD427299) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A103565) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-04-26 |