| NPI | 1295711547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 37058) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D76013) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD d76013) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2023-06-21 |