| NPI | 1003377946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A184666) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D93408) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-10-14 |