| NPI | 1366494908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 00026492) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.090166) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-07-05 |