NPI | 1013476837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.144124) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 314539) |
207P00000X Emergency Medicine (Licence: MI 4301511226) | |
Enumeration Date | 2019-03-19 |
Last Update Date | 2024-03-21 |