| NPI | 1447415542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0051601) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SD 7800) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2018-05-11 |