| NPI | 1346310786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 149756) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.127338) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2021-02-12 |