| NPI | 1083637086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ND 14814) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 88177) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-04-07 |