| NPI | 1841588241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 073935) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34C.000139) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2024-03-19 |