| NPI | 1063711356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C195946) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0053972) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2024-08-30 |