NPI | 1619292307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 21117) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34-009791) |
Enumeration Date | 2010-04-06 |
Last Update Date | 2016-10-31 |