| NPI | 1336501584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD192172) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: OR MD192172) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2021-08-10 |