| NPI | 1013946367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-46842) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G48932) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G48932) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-01-02 |