| NPI | 1801206909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 12214855-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A140380) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2024-01-17 |