| NPI | 1265478945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 058008) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A113414) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2025-12-09 |