| NPI | 1235505611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0100145) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A160993) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-07-02 |