| NPI | 1679530281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-17949) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G59265) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2021-06-23 |