| NPI | 1932182185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C147866) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA C147866) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MA 153729) | |
| 207P00000X Emergency Medicine (Licence: MA 153729) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2024-03-20 |