| NPI | 1295933687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125.052419) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A125227) |
| 207P00000X Emergency Medicine (Licence: HI 15521) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2023-09-25 |