| NPI | 1326138009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO 34063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 34063) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-11-28 |