| NPI | 1063490878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0049474) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C10007162) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2024-12-12 |