| NPI | 1710954847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: AZ 4447) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A9422) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA 20A9422) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: AZ 4447) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2024-02-16 |