NPI | 1952402513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 507) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34-007847) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2008-10-01 |