| NPI | 1497094148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0066265) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 157900) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2024-12-11 |