NPI | 1578190740 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02007476A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.016868) |
Enumeration Date | 2020-03-26 |
Last Update Date | 2024-04-17 |