| NPI | 1134334824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02003490B) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH BO9667710-705-01) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-02-04 |