| NPI | 1538546270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: PA OS019377) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS019377) |
| 207P00000X Emergency Medicine (Licence: AZ 011361) | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2026-05-11 |