| NPI | 1144483678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A116557) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 21201) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-08-26 |