| NPI | 1942437108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.098354) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 14409) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2021-06-10 |