| NPI | 1740700392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A172009) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2017021203) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-03-22 |