NPI | 1982233953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 57.250174) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD216272) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR PG216180) | |
Enumeration Date | 2020-04-02 |
Last Update Date | 2024-11-25 |