| NPI | 1407966716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 10958) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: PR 10958) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-02-28 |