| NPI | 1275553414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A92362) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA A92362) |
| 2083T0002X Preventive Medicine, Medical Toxicology (Licence: CA A92362) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2021-01-28 |