| NPI | 1699091876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 65358) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A117623) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2022-06-16 |