| NPI | 1386220283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX u9694) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A194830) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-06-07 |