| NPI | 1528019205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 56113) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA a84668) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-12-09 |