| NPI | 1437339652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS014993) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018519) |
| 207P00000X Emergency Medicine (Licence: OH 34.009064) | |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2024-09-25 |