| NPI | 1962433771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A7026) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU DO-120) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-06-22 |