| NPI | 1538270376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.138305) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD bs9316527) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-04-21 |