| NPI | 1194168286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C175071) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101259778) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2023-05-04 |