| NPI | 1952377236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: WY TL8631) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: OK 16947) |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX N1684) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2025-04-14 |