| NPI | 1033569249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX t4071) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A161536) |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2024-02-27 |