| NPI | 1225052194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: NC 2016-01735) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A5921) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-03-07 |