| NPI | 1942228093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35C.002911) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 58619) |
| 207P00000X Emergency Medicine (Licence: CA A76478) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-08-08 |