| NPI | 1033475876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P7308) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10042757) |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX P7308) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2022-05-05 |