| NPI | 1679503098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: KS 0527996) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: MO R1H68) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: MO R1H68) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: KS 0527996) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-12-03 |