| NPI | 1558451146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 172725-1205) |
| Additional Taxonomies | 207PT0002X Emergency Medicine Medical Toxicology (Licence: UT 172725-1205) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-10-01 |