NPI | 1437209996 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 32745) |
Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CO 32745) |
207Q00000X Family Medicine (Licence: CO 32745) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2014-02-04 |