| NPI | 1952835357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A157025) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A157025) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2025-08-14 |