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 |