NPI | 1316238421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0058964) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 56853) |
207R00000X Internal Medicine (Licence: MN 56853) | |
Enumeration Date | 2011-04-23 |
Last Update Date | 2020-06-01 |