| NPI | 1770596900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: LA MD.200942) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2021-00628) |
| 207P00000X Emergency Medicine (Licence: LA MD.200942) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NC 2021-00628) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2025-05-05 |