| NPI | 1699782987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G80889) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME168297) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-07-19 |