| NPI | 1689033649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 21847) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 6616) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2023-12-01 |