| NPI | 1366539843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A78500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A78500) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-02-08 |