| NPI | 1891050217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 72466-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.012288) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2023-05-26 |