| NPI | 1699237297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A182330) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: CA A182330) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2025-08-28 |