| NPI | 1245200674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G069453) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.064031) |
| 207P00000X Emergency Medicine (Licence: HI MD8036) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-12-20 |