| NPI | 1457988537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A202208) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD215078) |
| 207P00000X Emergency Medicine (Licence: CA A202208) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-05-27 |