| NPI | 1053367532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301077750) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: MI 4301077750) |
| 207R00000X Internal Medicine (Licence: MI 4301077750) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-06-22 |