| NPI | 1063751642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD156803) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G72480) |
| Enumeration Date | 2013-02-02 |
| Last Update Date | 2024-02-02 |