| NPI | 1437357498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME DO2278) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9386) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2024-06-10 |