NPI | 1710365788 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.137626) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY TL-50324) |
207P00000X Emergency Medicine (Licence: OH 35.137626) | |
Enumeration Date | 2015-05-11 |
Last Update Date | 2022-07-26 |