NPI | 1750570917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2009008956) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.009111) |
Enumeration Date | 2007-10-23 |
Last Update Date | 2015-03-30 |