| NPI | 1285703686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0061395) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 3349) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-03-10 |