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 |