| NPI | 1033207105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: WI 36637) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IL 036-089571) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-11-03 |