| NPI | 1346208824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: OH 35.085523) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35085523) |
| 207P00000X Emergency Medicine (Licence: MI 4301097517) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-02-17 |