| NPI | 1801939384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A11375) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H0065579) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2023-01-26 |