| NPI | 1336388164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A99842) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-16224) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2025-07-23 |