| NPI | 1023064755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 4021) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G44389) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-09-25 |