| NPI | 1396060844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A118701) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA A118701) |
| 207P00000X Emergency Medicine (Licence: NY 274756-1) | |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2022-07-21 |