| NPI | 1568463727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0057774) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 108338) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2018-08-27 |