NPI | 1013981901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01059834A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.128894) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2020-05-20 |