| NPI | 1467422337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.073741) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.127985) |
| 207Q00000X Family Medicine (Licence: OH 35-073741) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-07-25 |