NPI | 1063452258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI DOS-1205) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34008408-S) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2023-04-28 |