| NPI | 1003840497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 97-01609) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: NC 97-01609) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-07-15 |