| NPI | 1144324450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NY 199531) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 199531) |
| 207P00000X Emergency Medicine (Licence: OH 67304) | |
| 207P00000X Emergency Medicine (Licence: HI 13818) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NY 21293) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2022-07-21 |