| NPI | 1821185802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-14008) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G55120) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA g55120) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2022-07-20 |