| NPI | 1326012832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.073247) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-073247) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2024-02-08 |