| NPI | 1538522396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 85834) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A162448) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-10-27 |