| NPI | 1770534067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A73957) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 31348) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-11-27 |