| NPI | 1093917346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0053693) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.203849) |
| 207P00000X Emergency Medicine (Licence: MN 54968) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-05-22 |