| NPI | 1932698578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 009116) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A17909) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2021-10-12 |