| NPI | 1316175979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0054949) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO DR.0054949) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2016-04-12 |