| NPI | 1922266089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A110677) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: CA A110677) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: AK MEDS8148) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2024-11-05 |