| NPI | 1053418343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A92953) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P0878) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A92953) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-11-27 |