| NPI | 1578533154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine Medical Toxicology (Licence: CO DR.0034578) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 34578) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2016-05-03 |