| NPI | 1194923417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 695-L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A111925) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2024-10-15 |