| NPI | 1982100145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 12439686-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A195702) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-08-29 |