| NPI | 1548471493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.092517) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: MI 4301084214) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-04-05 |