| NPI | 1891280384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.015235) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C2-0024080) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2025-08-16 |