| NPI | 1942243449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G80943) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD126280) |
| 207R00000X Internal Medicine (Licence: OR MD126280) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-01-19 |