| NPI | 1528173952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M15020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G83117) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-12-01 |