| NPI | 1528224698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2012014538) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.053135) |
| 207P00000X Emergency Medicine (Licence: KS 04-35725) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MO 2012014538) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: KS 04-35725) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2016-08-18 |