| NPI | 1043693724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-15642) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 34013668) |
| 207P00000X Emergency Medicine (Licence: OH 34.013668) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2023-12-13 |