| NPI | 1851378806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34008574) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 1059) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2024-02-01 |