| NPI | 1982649141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G77351) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA G77351) |
| 208D00000X General Practice (Licence: CA g77351) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2025-01-06 |