NPI | 1760440242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 24145-020) |
Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: WI 24145-020) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2010-11-01 |