NPI | 1417924846 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35065305) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.065305) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2020-04-03 |