| NPI | 1366946501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 74743) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A164391) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-03-18 |