| NPI | 1528170933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: AL MD.11088) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 11088) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-03-15 |