NPI | 1245693712 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: WA MD.61273888) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD197917) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2025-05-28 |