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) |
Enumeration Date | 2007-07-20 |
Last Update Date | 2014-12-29 |