| NPI | 1841721586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A175468) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 60266) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2025-02-27 |