NPI | 1700325487 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.014102) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02006224A) |
207P00000X Emergency Medicine (Licence: MI EMC0004670) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34014102) | |
Enumeration Date | 2017-02-15 |
Last Update Date | 2024-03-21 |