| NPI | 1649776584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A206785) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0066448) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA A206785) | |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2026-06-27 |