| NPI | 1770732216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PR 17315) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: PR 17315) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2022-02-28 |