| NPI | 1659479327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: OH 34.005309) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34-005309) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-06-05 |