| NPI | 1487073094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0058842) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A154087) |
| 207P00000X Emergency Medicine (Licence: MN 66478) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-01-22 |