| NPI | 1871822726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2021-01292) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A117342) |
| 207P00000X Emergency Medicine (Licence: AZ 69633) | |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2023-07-11 |