| NPI | 1437237120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 18659) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G64884) |
| 207P00000X Emergency Medicine (Licence: MN 66468) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-01-25 |