| NPI | 1306805189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 6271) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G63676) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NV 6271) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-10-28 |