| NPI | 1144260449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C152251) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK C152251) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-10-21 |