| NPI | 1326677931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35147714) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OH 35.147714) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.147714) | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2026-07-06 |