NPI | 1003827049 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CO 34894) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 34894) |
2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CO 34894) | |
Enumeration Date | 2006-08-11 |
Last Update Date | 2022-07-05 |