| NPI | 1730479197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101252522) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: VA 0101252522) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2021-08-24 |