| NPI | 1912988155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34007546K) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34007546) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2023-03-24 |