| NPI | 1124510367 |
|---|---|
| Former Name | ZACHARY ROTTER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.152979) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301504875) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2025-06-02 |