| NPI | 1083134878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C202338) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD231257) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2026-07-08 |