| NPI | 1730560343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 5101021872) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5315071195) |
| 207P00000X Emergency Medicine (Licence: RI DO01065) | |
| 207P00000X Emergency Medicine (Licence: CA 17651) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-05-10 |