| NPI | 1043306699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD15385) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: ME MD15385) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-04-09 |