NPI | 1437735412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101028127) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.017598) |
207P00000X Emergency Medicine (Licence: IN 02008198A) | |
208D00000X General Practice (Licence: NY 331213) | |
Enumeration Date | 2021-03-22 |
Last Update Date | 2025-04-13 |