NPI | 1447699525 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.130678) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2013017842) |
Enumeration Date | 2013-06-21 |
Last Update Date | 2020-05-05 |