| NPI | 1700014453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD 43339) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IA MD 43339) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2016-06-03 |