| NPI | 1053312710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101238084) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 12876) |
| 207P00000X Emergency Medicine (Licence: CA A105542) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2024-06-26 |