| NPI | 1427006519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.080767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301050950) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-09-01 |