NPI | 1841240868 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NY 235895) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 235895) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2014-03-24 |