| NPI | 1255348173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine Medical Toxicology (Licence: MI 4301072294) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301072294) |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: MI 4301072294) | |
| 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: MI 4301072294) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2025-02-21 |