NPI | 1053317073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.073548) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35073548) |
Enumeration Date | 2005-06-23 |
Last Update Date | 2024-02-08 |