| NPI | 1770015307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 61223) |
| Additional Taxonomies | 207PT0002X Emergency Medicine Medical Toxicology (Licence: AZ 61223) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2021-11-19 |