| NPI | 1588236384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A20545) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA na) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2024-08-06 |