| NPI | 1326097338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A85874) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2006-0790) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-08-14 |