| NPI | 1700826716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01068889) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35044935U) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-02-06 |