NPI | 1649202250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301052677) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-063491) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2016-01-08 |