NPI | 1184030454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 007498) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.012135) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2018-08-31 |