| NPI | 1659554194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME154012) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A81689) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2023-06-22 |