| NPI | 1689984973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 16533) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.122368) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2014-08-21 |