| NPI | 1013992890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G73154) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME MD27590) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2024-03-12 |