| NPI | 1316189723 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A114973) | 
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA A114973) | 
| Enumeration Date | 2009-03-31 | 
| Last Update Date | 2023-05-23 |