| NPI | 1396786976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine Hospice and Palliative Medicine (Licence: CA G60730) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G60730) |
| 207PH0002X Emergency Medicine Hospice and Palliative Medicine (Licence: AZ 64802) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-01-21 |