| NPI | 1730281312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.096272) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 23369) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2013-03-08 |