NPI | 1407885031 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.081429) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101237433) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2021-07-07 |