| NPI | 1700216934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61261457) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A144414) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2022-06-08 |