| NPI | 1508912247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C128708) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD034399) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-02-16 |