| NPI | 1346449048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101284591) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A101485) |
| 207P00000X Emergency Medicine (Licence: AR E-10160) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2025-03-19 |