| 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 |