| NPI | 1316470933 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 59945) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A193845) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2024-06-06 |