NPI | 1790340784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: AZ 65525) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T2807) |
207PT0002X Emergency Medicine, Medical Toxicology (Licence: TX T2807) | |
Enumeration Date | 2019-05-06 |
Last Update Date | 2023-06-13 |