NPI | 1053316927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 20107) |
Additional Taxonomies | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: NE 20107) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2018-06-25 |