| NPI | 1427106400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 47604) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AZ 47604) |
| 207P00000X Emergency Medicine (Licence: CA A90181) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-07-31 |