NPI | 1013364660 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 164280) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 295390) |
2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: FL 164280) | |
Enumeration Date | 2016-05-24 |
Last Update Date | 2023-12-20 |