| NPI | 1497191803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2021-01643) |
| Additional Taxonomies | 207PT0002X Emergency Medicine Medical Toxicology (Licence: NC 2021-01643) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2023-12-18 |