| NPI | 1144241894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0057752) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 22649) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-02-02 |