| NPI | 1669836706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD048824) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35C.000464) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-08-30 |