| NPI | 1801832233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 44378) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A76815) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-05-03 |