| NPI | 1295745529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35-07-1024-S) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL ME99055) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-05-17 |