| NPI | 1699835181 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: WI 48315) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IL 036-105910) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |