| NPI | 1366701864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME md19770) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 128598) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2021-10-02 |