| NPI | 1851449839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A8168) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA OP61691946) |
| 207P00000X Emergency Medicine (Licence: OR DO225629) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2026-03-17 |