| NPI | 1770529851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A76200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO CDR.0001464) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-04-14 |