| NPI | 1437188836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 1046) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34-008641) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2015-12-08 |