| NPI | 1518491307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD28199) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A157561) |
| 207P00000X Emergency Medicine (Licence: GU M-2316) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2025-04-15 |