| NPI | 1710951454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine Medical Toxicology (Licence: VA 0102202389) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-108855) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2009-08-20 |