| NPI | 1710978036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-9717) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A81055) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2022-07-21 |