NPI | 1548350325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35070923) |
Additional Taxonomies | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: OH 35070923) |
2085U0001X Radiology Diagnostic Ultrasound (Licence: OH 35070923) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2007-07-08 |