| NPI | 1982838181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 34437) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: AL 34437) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2023-06-28 |