| NPI | 1992251920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A174495) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 21189) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2022-02-25 |