NPI | 1376586834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-101128) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 44671-020) |
207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: WI 44671-20) | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2023-06-30 |