| NPI | 1821187717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV DO3056) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A14072) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-12-30 |