| NPI | 1194971374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D69427) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A99032) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2021-12-08 |