| NPI | 1326255621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A102727) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD429757) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-03-09 |