| NPI | 1306070271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A121551) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C7-0004284) |
| 207P00000X Emergency Medicine (Licence: DE C1-0009798) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2026-02-20 |