NPI | 1730144718 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M2330) |
Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX M2330) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2025-10-03 |