| NPI | 1568825818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.135330) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OH 35.135330) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-11-18 |