| NPI | 1699926881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A109203) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 56322) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2024-03-20 |