| NPI | 1720401474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A18552) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 273620) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2023-10-16 |