| NPI | 1366410367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD212329) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A75040) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2025-11-06 |