| NPI | 1447240874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-31343) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IA MD-31343) |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: IA MD-31343) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IA MD-31343) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: IA MD-31343) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2024-02-21 |