| NPI | 1659809523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 009013) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 18677) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2021-11-23 |