| NPI | 1417395328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C170335) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA VA0101257692) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2021-11-10 |