| NPI | 1487883567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME183812) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: FL ME183812) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2026-08-07 |