| NPI | 1821451055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 18251) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A152463) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-06-05 |