| NPI | 1740419498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: PA MD447664) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL31794) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2017-03-30 |