| NPI | 1467013045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: SC 94031) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2022038745) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2025-07-25 |