| NPI | 1275238016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A205806) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 29448) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-07-22 |