| NPI | 1619339280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-11625) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: LA 346635) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: AR E-11625) | |
| 207P00000X Emergency Medicine (Licence: LA 346635) | |
| 207P00000X Emergency Medicine (Licence: MO 2019016448) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2026-01-21 |