| NPI | 1578095857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 282290) |
| Additional Taxonomies | 207PT0002X Emergency Medicine Medical Toxicology (Licence: MA 282290) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-06-15 |