| NPI | 1356541957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MD 0076436) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NY 254242) |
| 207P00000X Emergency Medicine (Licence: MD MD600004766) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2025-09-12 |