| NPI | 1346344975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.073088) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01050225A) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2022-09-19 |