| NPI | 1700413234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0070647) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-52115) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2026-02-06 |