| NPI | 1295302669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0073498) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151015272) |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2024-06-28 |