| NPI | 1033678990 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A191566) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 329884) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-01-22 |