| NPI | 1255957767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A20802) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151014627) |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2023-06-14 |