NPI | 1194795393 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35073595) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35073595) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2008-04-23 |