| NPI | 1548286743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35-092212) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01047100) |
| 207P00000X Emergency Medicine (Licence: OH 35-092212) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OH 35-092212) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-07-01 |