| NPI | 1831620905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 61143887) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A160207) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2021-05-13 |