| NPI | 1346760386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A191092) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101265438) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-11-12 |