| NPI | 1518052927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD18390) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0067330) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-05-04 |