NPI | 1619084605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX K0744) |
Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: TX K0744) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2013-12-19 |