| NPI | 1750319273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2020-0157) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A84768) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2025-10-29 |