| NPI | 1477526382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.008571) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02006808A) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2022-06-27 |