| NPI | 1649229816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 19575) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A61247) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-04-05 |