| NPI | 1841510948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 53103) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO TL-3672) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2014-03-25 |