| NPI | 1588691489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C168860) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 40340) |
| 207P00000X Emergency Medicine (Licence: IL 036112313) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2022-11-17 |