| NPI | 1932414406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.150467) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A150172) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2025-09-17 |