| NPI | 1356836316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MI 4301502794) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301115600) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-03-28 |