NPI | 1649258971 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX N8691) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: OH 34-00-3980- m) |
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX N8691) | |
Enumeration Date | 2006-01-06 |
Last Update Date | 2018-10-31 |