| NPI | 1437475233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.015512) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2014041655) |
| 207R00000X Internal Medicine (Licence: MI 510109475) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2023-01-07 |