| NPI | 1477519163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 24727) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A72309) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NV 24727) | |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2025-03-10 |