| NPI | 1174506190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 5101013110) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34C.000532) |
| 207P00000X Emergency Medicine (Licence: MI 5101013110) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2025-10-23 |