| NPI | 1437598687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A147179) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2013017869) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2021-12-16 |