| NPI | 1063443232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2004006972) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MO 2004006972) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-07-31 |