| NPI | 1558962100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.149152) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A200495) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2025-02-12 |