| NPI | 1649768375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2024012008) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MO 2024012008) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2024-12-30 |