| NPI | 1922074624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0053307) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-19213) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-11-07 |