| NPI | 1780615088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine Medical Toxicology (Licence: MS 14119) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 14119) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-10-06 |