| NPI | 1932186939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: ID m7984) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-7984) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2010-06-29 |