| NPI | 1427417062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 05-49286) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0065361) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2024-06-05 |