NPI | 1619120334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02004158A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34-009941) |
207P00000X Emergency Medicine (Licence: NC 2011-00430) | |
Enumeration Date | 2008-10-25 |
Last Update Date | 2021-02-03 |