| NPI | 1710914007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 46275) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO DR.0046275) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2024-05-10 |