| NPI | 1013533280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0071169) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL84480) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-06-15 |