| NPI | 1437266582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101021484) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34008684) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2015-11-19 |