| NPI | 1740242452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G82276) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD23323) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2023-12-29 |