| NPI | 1841829868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 77765) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A187415) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-08-19 |