| NPI | 1437257805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CT 043905) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 043905) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IN 01059581A) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CT 043905) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-06-16 |