| NPI | 1548780711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81744) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A171444) |
| 207P00000X Emergency Medicine (Licence: IL 125071297) | |
| 207P00000X Emergency Medicine (Licence: WI 22629) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-03-28 |