| NPI | 1568406312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A38588) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU MTL-2018-002) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-01-25 |