| NPI | 1154564797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine Hospice and Palliative Medicine (Licence: CO DR.0051945) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 237289) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2021-07-01 |