| NPI | 1083645204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C54411) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 45249-020) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-12-20 |