NPI | 1851690416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0058172) |
Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CO DR.0058172) |
Enumeration Date | 2011-03-22 |
Last Update Date | 2018-09-08 |