NPI | 1700893013 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35074360a) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35074360) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2023-03-24 |