| NPI | 1295179638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 120610) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A134103) |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2022-07-21 |