| NPI | 1043326853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A89668) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME92771) |
| 207P00000X Emergency Medicine (Licence: MS 21781) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2023-10-10 |