| NPI | 1548204423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-90981) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A62140) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2024-02-19 |