| NPI | 1831207471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-28089) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: KS 0428089) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-01-07 |