NPI | 1831164680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 203456 1) |
Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NY 27804) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2022-07-23 |