| NPI | 1134325202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD201050) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A106487) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2021-12-15 |