NPI | 1295021954 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35126038) |
Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: OH 35126038) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2020-11-19 |