| NPI | 1265640346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60333205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A 117027) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2021-04-27 |