| NPI | 1558896027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD049058) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A159257) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-01-18 |