NPI | 1154664936 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35131846) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME140809) |
Enumeration Date | 2013-03-31 |
Last Update Date | 2024-11-01 |