| NPI | 1891274056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 185396) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 22472) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2024-05-13 |