| NPI | 1366626830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 52116) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A102370) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2022-07-21 |