| NPI | 1346594926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A128993) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 265987) |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CA A128993) | |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2024-03-18 |