| NPI | 1538257555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 235161) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CT 54616) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MA 235161) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-02-09 |