| NPI | 1124106851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 19766) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G44013) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-01-07 |