| NPI | 1841215480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD26601) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A91503) |
| 207P00000X Emergency Medicine (Licence: WA MD61248946) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-03-18 |