| NPI | 1528320231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A132553) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301100361) |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2021-11-30 |