| NPI | 1669813945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A17293) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 61448) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-11-14 |