NPI | 1689841876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: VA 0101247764) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA 0101247764) |
Enumeration Date | 2008-05-15 |
Last Update Date | 2021-09-27 |