| NPI | 1548215072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 232572) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0053682) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-03-08 |