| NPI | 1831486273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: PA OS016773) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS016773) |
| 207P00000X Emergency Medicine (Licence: CO DR.0055047) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2024-09-19 |