| NPI | 1851487672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A 108534) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2003026016) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-02-02 |