| NPI | 1639449218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD173216) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A125657) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2021-09-22 |