| NPI | 1194939447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: OH 34-009466) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34-009466) |
| 207P00000X Emergency Medicine (Licence: MI 5101027902) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2024-04-15 |