| NPI | 1831432012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV DO2431) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 32.012491) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2023-07-13 |