| NPI | 1992033369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2016-01035) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A110876) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2021-12-17 |