| NPI | 1265403406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A64549) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA A64549) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2015-10-21 |