| NPI | 1699270538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: OH 35.147187) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.147187) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-09-28 |