| NPI | 1285600346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C52209) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60861174) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2022-08-12 |