| NPI | 1427447523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 147757) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA 60732610) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2024-01-25 |