NPI | 1093207060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 4505) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.015477) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2025-03-18 |