| NPI | 1932324472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G132756) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME 011670) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-05-28 |