| NPI | 1578561676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34-007285) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34007285) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2023-03-24 |