| NPI | 1487229191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 58.032015) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A24154) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2025-09-17 |