| NPI | 1366466120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G70948) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 2181) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-03-21 |