| NPI | 1720343791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0054990) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.060891) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2024-04-08 |