| NPI | 1467400135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A62383) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-16412) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A62383) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-08-08 |