| NPI | 1295090355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 006550) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: AZ 006550) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2020-03-11 |