| NPI | 1356390843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A68419) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 35566) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-12-18 |