| NPI | 1053310938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: MO 102147) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: KS 04-29528) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MO MD102147) | |
| 207P00000X Emergency Medicine (Licence: MO 102147) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: KS 04-29528) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: MO 102147) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2022-02-16 |