| NPI | 1619055340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 47483) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A77861) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-08-08 |