| NPI | 1467686196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0059792) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD 445 684) |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2020-12-07 |