NPI | 1669684379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2007-00394) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.091255) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2008-07-02 |