| NPI | 1467895581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 3201) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.017120) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2024-04-03 |