| NPI | 1225221948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0052392) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101017031) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2013-09-24 |