| NPI | 1497869648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: CA 20A6460) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A6460) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-26 |