| NPI | 1558820795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A183076) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-08-17 |