| NPI | 1023036753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 4428) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: ND 4428) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-04-06 |