NPI | 1548473374 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 2616) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34008993) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2022-04-20 |