| NPI | 1861444861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C167785) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD427457) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-03-14 |