| NPI | 1669563334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G182151) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 16675) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-10-18 |