| NPI | 1790740140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A86387) |
| Additional Taxonomies | 2083T0002X Preventive Medicine Medical Toxicology (Licence: CA A86387) |
| 207PT0002X Emergency Medicine Medical Toxicology (Licence: CA A86387) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-02-09 |