| NPI | 1336535970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0062296) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0062296) |
| 2083T0002X Preventive Medicine, Medical Toxicology (Licence: CO DR.0062296) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO DR.0062296) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-08-03 |