NPI | 1659463842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35039372) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35039372) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2011-07-05 |