| NPI | 1235575127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 83130) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A133540) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2021-01-07 |