| NPI | 1316006885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A118517) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 34138) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2024-07-17 |