| NPI | 1699751891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: CO 0038170) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 38170) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2023-01-04 |