| NPI | 1326218645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301086315) |
| Additional Taxonomies | 207PT0002X Emergency Medicine Medical Toxicology (Licence: MI 4301086315) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2015-05-26 |