NPI | 1326467580 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME130878) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.129173) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2021-01-21 |