| NPI | 1386010668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A16155) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 008012) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2020-10-22 |