| NPI | 1679513733 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-49359) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA a61540) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2024-10-20 |