| NPI | 1336529585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MI 1336529585) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 1336529585) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2023-08-30 |