| NPI | 1467406256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0058721) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 2001-229) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-08-27 |