| NPI | 1306005277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A104032) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60351843) |
| 207P00000X Emergency Medicine (Licence: CA A104032) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2024-03-21 |