| NPI | 1912948977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: MN 57818) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 57818) |
| 207P00000X Emergency Medicine (Licence: PA MD427006) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: PA MD427006) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-07-11 |