| NPI | 1467500264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G84675) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0074493) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2025-05-29 |