| NPI | 1942640354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A141511) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301103917) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2021-07-20 |