| NPI | 1619031705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO DR.0047801) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 47801) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2018-11-07 |