| NPI | 1922206168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: LA MD204496) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: PA MD438968) |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: CA A100796) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: FL 207PE0005X) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2016-03-14 |