| NPI | 1043848542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 23753) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 94450) |
| 207P00000X Emergency Medicine (Licence: CA A191896) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-01-26 |