| NPI | 1881042091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: AZ 008732) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 008732) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2024-02-12 |