| NPI | 1447811047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A86161) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2022018695) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-05-07 |