NPI | 1144616889 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01081470A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.129467) |
Enumeration Date | 2015-04-09 |
Last Update Date | 2020-11-12 |