| NPI | 1932378437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-45346) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A102552) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2022-12-21 |