| NPI | 1922198696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO DR.0019623) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 19623) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-11-15 |