| NPI | 1700070299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 30282) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A106578) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2024-04-26 |