| NPI | 1538781265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A179305) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD214647) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2025-08-20 |