| NPI | 1285750216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2006029255) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A100685) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2021-11-06 |