NPI | 1104264290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO TDP.0001024) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO TDP.0001024) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2018-11-04 |