| NPI | 1740263698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 209848) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NY 209848) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2013-08-15 |