| NPI | 1992047328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 284244) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A144470) |
| 207P00000X Emergency Medicine (Licence: NM MD2016-0487) | |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2021-10-20 |