| NPI | 1497101380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A168772) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 267022) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-03-14 |