| NPI | 1093765935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX L5054) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: TX l5054) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA g85817) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-02-14 |