| NPI | 1912956319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM 80-201) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A38377) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-17 |