| NPI | 1992896922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0032169) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 23067) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-02-22 |