| NPI | 1447301072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS MS17996) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MS XH8195364) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2019-11-19 |