| NPI | 1841341492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C133747) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS MS17950) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2024-12-04 |