NPI | 1235757543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.167509) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57.248924) |
Enumeration Date | 2020-07-13 |
Last Update Date | 2024-06-21 |