| NPI | 1437512639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A168918) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2023-1433) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-12-05 |