| NPI | 1285801704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C171586) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 7277539-1205) |
| 207P00000X Emergency Medicine (Licence: NY 247695) | |
| 207P00000X Emergency Medicine (Licence: WY 9628A) | |
| 207P00000X Emergency Medicine (Licence: MO 2011026835) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2024-03-19 |