| NPI | 1790766368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 038652) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CT CT038652) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2015-10-13 |