| NPI | 1437109790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.083597) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35083597D) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2025-06-04 |