NPI | 1447414131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI L1377451) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.125227) |
Enumeration Date | 2008-07-11 |
Last Update Date | 2023-01-18 |