| NPI | 1982629408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA G88375) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 32183) |
| 207P00000X Emergency Medicine (Licence: CA G88375) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NC 32183) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: CA G88375) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NC 32183) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: CA G88375) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: NC 32183) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-05-23 |