| NPI | 1629242888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA a101478) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD212849) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2022-10-03 |