| NPI | 1053478784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301113860) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A133299) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-11-01 |