| NPI | 1588825301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0051779) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 248304-1) |
| 207R00000X Internal Medicine (Licence: NY 248304-1) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2018-11-19 |