| NPI | 1184042137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A161393) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 64795 - 20) |
| 207P00000X Emergency Medicine (Licence: CT 56102) | |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2024-03-21 |