NPI | 1104280189 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A154527) |
Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A154527) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2024-05-01 |