| NPI | 1497727598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G84441) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD61353935) |
| 207P00000X Emergency Medicine (Licence: TX P6633) | |
| 207P00000X Emergency Medicine (Licence: IN 01086550A) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2023-09-12 |