| NPI | 1457918740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A186932) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301507867) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A186932) | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2025-08-14 |