| NPI | 1205079522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C200178) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD61014484) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2025-02-11 |