| NPI | 1164838181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A162819) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2018-00617) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-10-31 |