| NPI | 1891321337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A209631) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0074993) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2026-05-27 |