| NPI | 1922161835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C183795) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2008006650) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MO 2008006650) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA C183795) | |
| 208D00000X General Practice (Licence: MO 2008006650) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-02-03 |