| NPI | 1437252301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A98375) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 39530) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2022-09-08 |