| NPI | 1457707630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0063739) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 293215) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2024-01-19 |