| NPI | 1548215023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A75905) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60539682) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A75905) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-11-13 |