| NPI | 1063099216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.016430) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 010999) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2025-01-28 |