| NPI | 1265504021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 7075) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G170020) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-01-14 |