NPI | 1578141529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0075254) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2024-0471) |
Enumeration Date | 2021-03-31 |
Last Update Date | 2025-07-08 |