NPI | 1578722039 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P7305) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 50473) |
207PT0002X Emergency Medicine, Medical Toxicology (Licence: TX P7305) | |
Enumeration Date | 2008-06-09 |
Last Update Date | 2019-09-17 |