NPI | 1861474421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA DO-03231) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 03231) |
207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: IA 03231) | |
Enumeration Date | 2005-11-18 |
Last Update Date | 2023-03-07 |