| NPI | 1265922637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A186561) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R76657) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2023-09-27 |