| NPI | 1306260799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-49768) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IA MD-49768) |
| 207P00000X Emergency Medicine (Licence: NY 303355) | |
| 207P00000X Emergency Medicine (Licence: MD D87516) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2022-08-19 |