| NPI | 1730382102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO DR.0054670) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP01220) |
| 207P00000X Emergency Medicine (Licence: CO DR.0054670) | |
| 207P00000X Emergency Medicine (Licence: MA 246457) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2018-11-07 |