| NPI | 1881667574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NE 13357) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IA 19940) |
| 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: NE 13357) | |
| 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: IA 19940) | |
| Enumeration Date | 2006-02-11 |
| Last Update Date | 2008-07-25 |