| NPI | 1972527216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0042840) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00044752) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-12-15 |