NPI | 1598344749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 4398) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.031948) |
Enumeration Date | 2021-04-05 |
Last Update Date | 2025-08-19 |