| NPI | 1477610046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.005472) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34005472) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-03-24 |