| NPI | 1003023771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 58.002211) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34009463) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-03-24 |