NPI | 1306339486 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME169580) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.146732) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2024-08-28 |