NPI | 1316986987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.098665) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 234072-1) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2024-11-20 |