| NPI | 1447416896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.127329) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301093367) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35127329) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2020-12-14 |