| NPI | 1275160459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-54511) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IA MD-54511) |
| 207P00000X Emergency Medicine (Licence: VA 0101277864) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-09-10 |