| NPI | 1326250226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO DR.0045976) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 45976) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2026-03-05 |