| NPI | 1184007635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2022018046) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MO 2022018046) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2025-04-17 |