| NPI | 1104037498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 46635) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO 46635) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2010-02-04 |