| NPI | 1538509484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0065343) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2017-0420) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2017-0420) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2022-07-21 |