| NPI | 1760010706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0072895) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 68750) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-05-13 |