| NPI | 1497953244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GU M-1929) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A78197) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2021-04-15 |