| NPI | 1194739292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G78548) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 35445) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-03-22 |