NPI | 1083034938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.152398) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R0446) |
Enumeration Date | 2014-04-18 |
Last Update Date | 2025-02-07 |