| NPI | 1326138009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO 34063) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 34063) |
| 207R00000X Internal Medicine (Licence: CO 34063) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 34063) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2026-05-13 |