| NPI | 1750398707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0050846) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 2001-124) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2026-03-13 |